Evaluation of a Novel Αb Εxterno MicroShunt for the Treatment of Glaucoma

The surgical management of glaucoma has been revolutionized by the introduction of minimally invasive glaucoma surgery (MIGS). The various MIGS options aim to meaningfully lower intraocular pressure with a better safety profile than traditional glaucoma surgery. The key clinical attributes and the e...

Descripción completa

Detalles Bibliográficos
Autores: Burgos Blasco, Bárbara, García Feijoo, Julián, Perucho González, Lucía, Güemes Villahoz, Noemi, Morales Fernández, Laura, Méndez Hernández, Carmen Dora, Martínez De La Casa Fernández-Borrella, José María, Konstas, Anastasios Georgios
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/73330
Acceso en línea:https://hdl.handle.net/20.500.14352/73330
Access Level:acceso abierto
Palabra clave:617.7‑007.681
617.7-089
Filtration surgery
Glaucoma
MIGS
Medical therapy
PreserFlo MicroShunt.
Cirugía
Oftalmología
3213 Cirugía
3201.09 Oftalmología
id ES_468eecb4feedf59d4de0873a2e087843
oai_identifier_str oai:docta.ucm.es:20.500.14352/73330
network_acronym_str ES
network_name_str España
repository_id_str
spelling Evaluation of a Novel Αb Εxterno MicroShunt for the Treatment of GlaucomaBurgos Blasco, BárbaraGarcía Feijoo, JuliánPerucho González, LucíaGüemes Villahoz, NoemiMorales Fernández, LauraMéndez Hernández, Carmen DoraMartínez De La Casa Fernández-Borrella, José MaríaKonstas, Anastasios Georgios617.7‑007.681617.7-089Filtration surgeryGlaucomaMIGSMedical therapyPreserFlo MicroShunt.CirugíaOftalmología3213 Cirugía3201.09 OftalmologíaThe surgical management of glaucoma has been revolutionized by the introduction of minimally invasive glaucoma surgery (MIGS). The various MIGS options aim to meaningfully lower intraocular pressure with a better safety profile than traditional glaucoma surgery. The key clinical attributes and the emerging potential of an ab externo MicroShunt (PreserFlo™) are reviewed in the context of published evidence and clinical experience. This novel MicroShunt consists of an 8.5-mm-long tube that is implanted in the eye via an ab externo approach enabling aqueous humor drainage into the sub-Tenon's space through the formation of a bleb, similar in appearance to that created by trabeculectomy. The efficacy and safety of this procedure, the concomitant use of antimetabolites, the impact of tube positioning, and its future value in clinical practice are critically reviewed. Recent evidence has demonstrated the MicroShunt to be less effective than traditional filtration surgery, but with a significant improvement in safety. Cumulative data suggest that the new implant provides tangible clinical benefits to selected patients with glaucoma in need of further intraocular pressure (IOP) lowering. Future research should delineate the precise role of this and other MIGS options in the rapidly evolving glaucoma treatment algorithm.Springer HealthcareUniversidad Complutense de Madrid20222022-07-0720222022-07-07journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/73330reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial 3.0 Españahttps://creativecommons.org/licenses/by-nc/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/733302026-06-02T12:44:21Z
dc.title.none.fl_str_mv Evaluation of a Novel Αb Εxterno MicroShunt for the Treatment of Glaucoma
title Evaluation of a Novel Αb Εxterno MicroShunt for the Treatment of Glaucoma
spellingShingle Evaluation of a Novel Αb Εxterno MicroShunt for the Treatment of Glaucoma
Burgos Blasco, Bárbara
617.7‑007.681
617.7-089
Filtration surgery
Glaucoma
MIGS
Medical therapy
PreserFlo MicroShunt.
Cirugía
Oftalmología
3213 Cirugía
3201.09 Oftalmología
title_short Evaluation of a Novel Αb Εxterno MicroShunt for the Treatment of Glaucoma
title_full Evaluation of a Novel Αb Εxterno MicroShunt for the Treatment of Glaucoma
title_fullStr Evaluation of a Novel Αb Εxterno MicroShunt for the Treatment of Glaucoma
title_full_unstemmed Evaluation of a Novel Αb Εxterno MicroShunt for the Treatment of Glaucoma
title_sort Evaluation of a Novel Αb Εxterno MicroShunt for the Treatment of Glaucoma
dc.creator.none.fl_str_mv Burgos Blasco, Bárbara
García Feijoo, Julián
Perucho González, Lucía
Güemes Villahoz, Noemi
Morales Fernández, Laura
Méndez Hernández, Carmen Dora
Martínez De La Casa Fernández-Borrella, José María
Konstas, Anastasios Georgios
author Burgos Blasco, Bárbara
author_facet Burgos Blasco, Bárbara
García Feijoo, Julián
Perucho González, Lucía
Güemes Villahoz, Noemi
Morales Fernández, Laura
Méndez Hernández, Carmen Dora
Martínez De La Casa Fernández-Borrella, José María
Konstas, Anastasios Georgios
author_role author
author2 García Feijoo, Julián
Perucho González, Lucía
Güemes Villahoz, Noemi
Morales Fernández, Laura
Méndez Hernández, Carmen Dora
Martínez De La Casa Fernández-Borrella, José María
Konstas, Anastasios Georgios
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 617.7‑007.681
617.7-089
Filtration surgery
Glaucoma
MIGS
Medical therapy
PreserFlo MicroShunt.
Cirugía
Oftalmología
3213 Cirugía
3201.09 Oftalmología
topic 617.7‑007.681
617.7-089
Filtration surgery
Glaucoma
MIGS
Medical therapy
PreserFlo MicroShunt.
Cirugía
Oftalmología
3213 Cirugía
3201.09 Oftalmología
description The surgical management of glaucoma has been revolutionized by the introduction of minimally invasive glaucoma surgery (MIGS). The various MIGS options aim to meaningfully lower intraocular pressure with a better safety profile than traditional glaucoma surgery. The key clinical attributes and the emerging potential of an ab externo MicroShunt (PreserFlo™) are reviewed in the context of published evidence and clinical experience. This novel MicroShunt consists of an 8.5-mm-long tube that is implanted in the eye via an ab externo approach enabling aqueous humor drainage into the sub-Tenon's space through the formation of a bleb, similar in appearance to that created by trabeculectomy. The efficacy and safety of this procedure, the concomitant use of antimetabolites, the impact of tube positioning, and its future value in clinical practice are critically reviewed. Recent evidence has demonstrated the MicroShunt to be less effective than traditional filtration surgery, but with a significant improvement in safety. Cumulative data suggest that the new implant provides tangible clinical benefits to selected patients with glaucoma in need of further intraocular pressure (IOP) lowering. Future research should delineate the precise role of this and other MIGS options in the rapidly evolving glaucoma treatment algorithm.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-07-07
2022
2022-07-07
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/73330
url https://hdl.handle.net/20.500.14352/73330
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial 3.0 España
https://creativecommons.org/licenses/by-nc/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial 3.0 España
https://creativecommons.org/licenses/by-nc/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Healthcare
publisher.none.fl_str_mv Springer Healthcare
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869407235952607232
score 15.300719

Similares en LA Referencia